Organization Active NPI

Sunset Sleep Labs LLC

  • Clinical Medical Laboratory
  • Simi Valley, CA
National Provider Identifier
1104985357
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUNSET SLEEP LABS LLC
Practice address
2796 Sycamore Dr
Suite103
Simi Valley, CA 93065-1546
Phone
(805) 582-0999
Fax
(805) 582-0919
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bruce L Edwards
Title
President
Phone
(805) 582-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2796 Sycamore Dr
Suite103
Simi Valley, CA 93065-1546

Mailing address

2796 Sycamore Dr
Suite103
Simi Valley, CA 93065-1546
Phone (805) 582-0999

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ64553ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050308001131 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8729032172 Practice locations: Simi Valley, CA
O20150728003487 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8729032172 Practice locations: Newhall, CA
O20150924003057 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8729032172 Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

3831 Hughes Ave
Ste 510
Culver City, CA 90232
Phone (310) 202-0999

23928 Lyons Ave
Ste 108
Newhall, CA 91321
Phone (661) 753-9340

990 Enchanted Way
Ste 100
Simi Valley, CA 93065

990 Enchanted Way
Ste 106
Simi Valley, CA 93065
Phone (805) 582-0999

2796 Sycamore Dr
Ste 103
Simi Valley, CA 93065
Phone (805) 582-0989

5620 Wilbur Ave
Ste 324
Tarzana, CA 91356
Phone (805) 582-0999

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1104985357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 SYCAMORE DR",
            "address_2": "SUITE103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651546",
            "telephone_number": "805-582-0999",
            "fax_number": "805-582-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 SYCAMORE DR",
            "address_2": "SUITE103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651546",
            "telephone_number": "805-582-0999",
            "fax_number": "805-582-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SLEEP LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-582-0999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64553Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.